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Flexible Robotic Endoscopy Systems and the Future Ahead

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Book cover Diagnostic and Therapeutic Procedures in Gastroenterology

Part of the book series: Clinical Gastroenterology ((CG))

Abstract

Robotics enables a variety of unconventional actuation strategies to be used for endoscopes, resulting in reduced trauma to the GI tract. For transmission of force to distally mounted endoscopic instruments, robotically actuated tendon-sheath mechanisms are the current state of the art. Robotics in surgical endoscopy enables an ergonomic mapping of the surgeon movements to remotely control the slave arms as well as to facilitate tissue manipulation. The learning curve for difficult procedures such as endoscopic submucosal dissection and full-thickness resection can be significantly reduced. Improved surgical outcomes are also observed from clinical and preclinical trials. The technology behind master-slave surgical robotics will continue to mature, with the addition of position and force sensors enabling better control and tactile feedback. More robotic-assisted gastrointestinal (GI) luminal and natural orifice transluminal endoscopic surgery (NOTES) systems are expected to be conducted in future, and gastroenterologists will have a key collaborative role to play.

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Acknowledgement

The authors would like to thank National Research Foundation (NRF) with NRF Investigatorship Award (NRF-NRFI2016-07) from Prime Minister’s Office of Singapore for funding supports.

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Authors and Affiliations

  1. School of Mechanical and Aerospace Engineering, Nanyang Technological University, 50 Nanyang Avenue, Singapore, 639798, Singapore

    Tian En Timothy Seah, Thanh Nho Do & Soo Jay Phee

  2. California NanoSystems Institute (CNSI), University of California, Santa Barbara, Room 2810, Elings Hall, Mesa Road, Santa Barbara, CA, 93106, USA

    Thanh Nho Do

  3. Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore and National University of Health System, Singapore, 119260, Singapore

    Nobuyoshi Takeshita & Khek Yu Ho

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  1. Tian En Timothy Seah
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Correspondence to Thanh Nho Do .

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Editors and Affiliations

  1. Advanced Endoscopy, Digestive Health Center, Section of Gastroenterology & Hepatology, Medical College of Georgia, Augusta University, Augusta, Georgia, USA

    Subbaramiah Sridhar

  2. Division of Gastroenterology-Hepatology, University of Connecticut Health Center, Farmington, Connecticut, USA

    George Y. Wu

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Seah, T.E.T., Do, T.N., Takeshita, N., Ho, K.Y., Phee, S.J. (2018). Flexible Robotic Endoscopy Systems and the Future Ahead. In: Sridhar, S., Wu, G. (eds) Diagnostic and Therapeutic Procedures in Gastroenterology. Clinical Gastroenterology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-62993-3_41

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  • DOI: https://doi.org/10.1007/978-3-319-62993-3_41

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